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1265809016
TRAE PERRY
IDAHO FALLS, ID
NPI
1265809016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP - 2790)
Enumeration Date
2015-08-27
Last Update Date
2015-08-27
Business Address
-- TRAE PERRY M.S. CCC - SLP
2377 CORONADO ST
IDAHO FALLS, ID 83404-7440
Phone number: 208-535-1286
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Mailing Address
-- TRAE PERRY M.S. CCC - SLP
3069 DISNEY DR
IDAHO FALLS, ID 83404-7320
Phone number: 208-690-9821
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